JESSE PHILLIP WRAY – Emergency Medicine Physician, NPI 1679076988
Emergency Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,051 EMERGENCY MEDICINE in TX
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Provider Addresses for JESSE PHILLIP WRAY
JBER EMERGENCY DEPARTMENT
5955 ZEAMER AVE
ELMENDORF AFB, AK 99506
Phone: (907) 580-5556
Type: Mailing
WHMC/GE-2200
2200 BERGQUIST DR STE 1
JBSA LACKLAND AFB, TX 782365300
Phone:
Type: Mailing
Center for the Intrepid, 3551, Roger Brooke Drive, San Antonio, Bexar County, Texas, 78234, United States
FORT SAM HOUSTON, TX 782344504
Phone: (210) 916-4789
Type: Location
250 Hospital Pl
Soldotna, AK 996696999
Phone: (907) 714-4529
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-03-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220315001200 | I | Emergency Medicine | AK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 85 | 82 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 33 | 28 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 26 | 26 | $0 |
Insurance plans in this area (ZIP 99506)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | CO | |
| Nurse Practitioner | AK | |
| N E U R O L O G Y | WI | |
| Certified Registered Nurse Anesthetist (Crna) | AK | |
| Emergency Medicine | AK | |
| Certified Registered Nurse Anesthetist (Crna) | AK | |
| P A T H O L O G Y | AR | |
| - | UT | |
| Nurse Practitioner | OH | |
| - | CT |
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